9 Vitamin Party

Question 1

Vitamin A deficiency is rare. What are the symptoms (2)

Answer 1

• ocular deffects

- increased susceptibility to infection

Question 2

Nicotinimide is used in preference to nicotinic acid in vitamin B preparation because….

Answer 2

does not cause vasodilation

Question 3

Treatment for Wernicke’s encephalopathy

Answer 3

Pabrinex followed by oral thiamine

Question 4

What is the cause of Wernicke’s encephalopathy

Answer 4

Thiamine (Vit B) deficinecy

Question 5

Isoniazid or penicillamine in wilsons disease can cause which vitamin deficinecy

Answer 5

B6 (pyridoxine hydrochloride)

Question 6

How does nicotinic acid effect cholesterol

Answer 6

inhibits the synthesis of chol and triglyceride

Question 7

What is the treatment for megloblastic anaemia

Answer 7

folic acid and B12

Question 8

what is folinic acid used for

Answer 8

combat the side-effects of methotrexate in cytotoxic therapy

Question 9

What is scurvy caused by

Answer 9

lack of vitamin C

Question 10

What is rickets caused by

Answer 10

lack of vitamin D

Question 11

What to prescribe for vitamin D deficiency in renal failure

Answer 11

alfacalcidol or calcitriol

Question 12

Dose of folic acid in pregnancy and for how long?

Answer 12

Low risk - 400 microg OD
High risk - 5mg OD

Continued until 12 weeks pregnant

Question 13

Folic acid for women with sickle cell who are pregnant?

Answer 13

High risk dose until 12 weeks pregnant and then continue with normal folic acid dose

Question 14

Who is at high risk of developing a neural tube defect?

6

Answer 14

• If either partner has a neural tube defect
• Previous affected pregnancy
• Coeliac or other malabsorption state
• Diabetes
• Sick cell
• Taking anti-epileptics